Organization Active NPI

Beyer Laser Center

  • Specialist
  • Boulder, CO
National Provider Identifier
1669567970
Registry record updated Jul 23, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
36691 Issued in CO
Legal business name
BEYER LASER CENTER
Practice address
1810 30TH St Ste B
Boulder, CO 80301-1025
Phone
(303) 499-2020
NPI assigned
Oct 3, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Criag Franklin Beyer
Title
Owner/Medical Director
Phone
(303) 499-2020

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 36691 CO Primary

Addresses

Primary practice location

1810 30TH St Ste B
Boulder, CO 80301-1025

Mailing address

1810 30TH St Ste B
Boulder, CO 80301

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1248307200000",
    "number": "1669567970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 30TH ST STE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "80301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 30TH ST STE B",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011025",
            "telephone_number": "303-499-2020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYER LASER CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-03",
        "last_updated": "2009-07-23",
        "status": "A",
        "authorized_official_last_name": "BEYER",
        "authorized_official_first_name": "CRIAG",
        "authorized_official_middle_name": "FRANKLIN",
        "authorized_official_title_or_position": "OWNER/MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "303-499-2020"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "36691",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.